Provider Demographics
NPI:1386639847
Name:WESTERN PENNSYLVANIA ANESTHESIA ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:WESTERN PENNSYLVANIA ANESTHESIA ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-204-0048
Mailing Address - Street 1:1501 REEDSDALE ST
Mailing Address - Street 2:STE 4004
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15233-2341
Mailing Address - Country:US
Mailing Address - Phone:412-363-5570
Mailing Address - Fax:412-353-5575
Practice Address - Street 1:1501 REEDSDALE ST
Practice Address - Street 2:STE 4004
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-2341
Practice Address - Country:US
Practice Address - Phone:412-363-5570
Practice Address - Fax:412-353-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00680210-0012Medicaid
PA00680210-0012Medicaid